Clinic
Highland Health Providers Corp
Highland Health Providers Corp was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoHIGHLAND HEALTH PROVIDERS CORP
HILLSBORO, OH 45133
HILLSBORO, OH 45133
33aNPI1144774514assigned 08/15/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.05M
24GClaims62,871
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Ohio
Rank by total paid#193 of 348
Median peer was paid$1.33M
This provider vs. median0.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,815 | $205K | |
| 2019 | 8,401 | $183K | |
| 2020 | 11,127 | $140K | |
| 2021 | 9,540 | $115K | |
| 2022 | 10,095 | $131K | |
| 2023 | 8,322 | $239K | |
| 2024incomplete | 1,571 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 89% | 33,262 | 19,193 | $933K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.6% | 9,204 | 5,972 | $48K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 16,366 | 9,823 | $39K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1.7% | 1,508 | 1,328 | $17K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 938 | 723 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 409 | 281 | $3K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 121 | 113 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 103 | 77 | $312.32 |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 97 | 65 | $92.47 |
| 36415 | Collection of venous blood by venipuncture | 0% | 20 | 18 | $0.00 |
| 59430 | 0% | 105 | 70 | $0.00 | |
| 97802 | 0% | 18 | 13 | $0.00 |
11 more codes
| 99406 | 0% | 66 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 66 | $0.00 |
| 1036F | 0% | 22 | $0.00 | |
| 81002 | 0% | 89 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 58 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 44 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 108 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 101 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 16 | $0.00 |
| 2014F | 0% | 124 | $0.00 | |
| 4004F | 0% | 26 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialACKLEY, MEGHANN (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Highland Health Providers Corp | Hillsboro, OH | $2.67M |
| Highland Health Providers Corp | Hillsboro, OH | $1.26M |
| Highland Health Providers Corp | Hillsboro, OH | $580K |
| Highland Health Providers Corp | Greenfield, OH | $467K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.